Individual
DR. JAMES J. ZETTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
7519 MILLIES RUN RD, MONTGOMERY, TX 77316-6805
(281) 203-3953
(866) 843-4145
Mailing address
7519 MILLIES RUN RD, MONTGOMERY, TX 77316-6805
(281) 203-3953
(866) 843-4145
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
24752
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123555801
—
TX
05
—
123555803
—
TX
05
—
123555805
—
TX
05
—
123555806
—
TX
01
—
680013245
RAIL ROAD
TX
01
—
82931P
BLUE CROSS BLUE SHIELD
TX
01
—
86459A
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/01/2006
Last updated
04/25/2008
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